Affiliation:
1. Department of Pediatric Surgery, Cairo University Specialized Pediatric Hospital, Cairo, Egypt
2. Department Pediatric Surgery, Minia University, Minya, Egypt
Abstract
Abstract
Background:
This study aimed to use anthropometric measurements taken pre- and post-operation to evaluate quantitative assessment of modified Millard technique compared with Tennison-Randall technique in unilateral cleft lip (UCL) repair.
Materials and Methods:
Prospective randomised controlled study recruited infants scheduled for UCL repair. Infants aged 2–6 months, either complete or incomplete deformity. A total of 68 patients were randomised in 1:1 ratio to undergo either modified Millard technique (Group I) or Tennison-Randall technique (Group II).
Results:
Group I had significantly longer operative time than Group II (85.7 ± 7.4 vs. 68.7 ± 8.8 min, respectively; P < 0.001). Group I has less post-operative wound infection, wound dehiscence and wound scarring than Group II, but Group II has less post-operative lip notch. In Group I, greater increases in post-operative horizontal lip length and vertical lip height were observed, compared to Group II, without statistically significant difference. Group I showed a greater reduction in nasal width and total nasal width than Group II, without statistically significance. Group II had a greater increase in philtral height. However, only post-operative Cupid’s-bow width was significantly different between two groups (P = 0.041).
Conclusion:
Overall results demonstrate no significant differences between modified Millard technique and Tennison-Randall technique.
Subject
Pediatrics, Perinatology and Child Health,Surgery
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